MEDICARE: PRECISION MENTAL HEALTH LLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992043749
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRECISION MENTAL HEALTH LLP

Provider Business Mailing Address
First Line	:	1176 VICKERY LN STE 100
Second Line	:
City	:	CORDOVA
State	:	TN
Zip	:	38016-0631
Country	:	US
Telephone Number	:	901-737-1992
Fax Number	:	901-309-8784

Provider Business Practice Location Address
First Line	:	1176 VICKERY LN STE 100
Second Line	:
City	:	CORDOVA
State	:	TN
Zip	:	38016-0631
Country	:	US
Telephone Number	:	901-737-1992
Fax Number	:	901-309-8784

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	MRS. TONYA M MALADY
Credential	:
Telephone Number	:	901-737-1992

Provider Enumeration Date	:	01/29/2013
Last Update Date	:	03/11/2019

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Directions to “PRECISION MENTAL HEALTH LLP ” Practice Location

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